Quality Improvement Coordinator

Job Title: Quality Improvement Coordinator
Department: Quality Improvement
 
Immediate Supervisor Title: Quality Improvement Manager
 
Job Supervisory Responsibilities: None
 
General Summary: An exempt position responsible for coordinating quality management efforts including development, implementation, education, data collection, and analysis.
 
Essential Job Responsibilities:

1. Helps quality improvement (QI) manager to plan, design, implement, and maintain a comprehensive medical practice continuous quality improvement (CQI) program including utilization management and risk management. Assists in educating new staff, including physicians, about QI systems and requirements.
2. Meets with internal and external audiences to identify and problem solve QI issues.
3. Monitors medical practice efforts to ensure compliance with internal and external QI standards. Reviews medical records and other documentation to ensure quality care. Helps to prepare annual QI report.
4. Coordinates the effort to gather data and prepare reports to meet the requirements of NCQA and other regulatory/accrediting agencies, including patient satisfaction data.
5. Evaluates variance and other data to identify QI opportunities and risk management issues.
6. Monitors utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints. Follows through on complaints including identification of corrective actions needed. Reports on results.

Education: Bachelor's degree in health administration or health-related field. BSN preferred.
 
Experience: Minimum four years of experience in health care setting with minimum three years of experience in quality management, preferably in medical practice setting.
 
Other Requirements: Current RN state license. Current CPR certificate.
 
Performance Requirements:
 
Knowledge:

1. Knowledge of CQI principles, practices, methods, and tools.
2. Knowledge of computer applications related to QI, including spreadsheets.
3. Knowledge of medical records and clinical care processes.

Skills:

1. Skill in effective education and facilitation of CQI efforts in medical practice.
2. Skill in application of analytical methods and statistical software by developing appropriate reports.
3. Skill in conducting QI checks of medical records and other clinical documentation and performing patient satisfaction surveys.

Abilities:

1. Ability to educate staff in both verbal and written form about QI in formal and informal settings.
2. Ability to interact effectively with health care team members.
3. Ability to analyze QI data and identify trends and corrective actions.

Equipment Operated: Standard office equipment including computer hardware and software.
 
Work Environment: Primarily office and classroom settings. Rare patient contact.
 
Mental/Physical Requirements: Combination of office and classroom settings. May occasionally need to lift/carry/move audiovisual equipment weighing up to 50 pounds. Occasional stress related to deadline pressure.